范伏元教授基于“阴消阳长”理论诊疗强直性脊柱炎经验

Professor Fan Fu-Yuan’s Experience in Diagnosis and Treatment of Ankylosing Spondylitis Based on the Theory of “Yang Waning with Yin Waxing”

摘要: 范伏元教授认为强直性脊柱炎属中医学“大偻”、“骨痹”等范畴，机体内生痰湿与外来“风湿”、“寒湿”、“湿热”之邪侵袭脊督，形成脾肾阳虚、风寒湿痹、风湿热痹等基本病机，治以“祛湿为要”、“温阳为辅”，而达“阴消阳长”、“阴平阳秘”。该文主要介绍范师针对湿邪致病缠绵反复，处以“祛湿为要”、“温阳为辅”法论治强直性脊柱炎的临证诊疗思路及用药经验，并分享医案一则，以飨同仁。

Abstract: Professor Fan Fu-yuan believes that ankylosing spondylitis belongs to the category of “big bone” and “bone arthralgia” in Chinese medicine. The body's internal phlegm dampness and foreign “rheumatism”, “cold dampness” and “damp heat” invade the spinal governor, and form the basic pathogenesis of spleen and kidney yang deficiency, wind cold wet arthralgia, rheumatic heat ar-thralgia and so on. It is treated with “dispelling dampness as the necessary” and “warming Yang as the supplement” and reaches the “Yang waning with Yin waxing”, “balance of Yin and Yang”. This article mainly introduces the teachers' experience in the treatment of ankylosing spondylitis by means of “dispelling dampness for the need” and ”warming Yang as the supplement”, and shares the experience of medication and a medical case to provide dinner for colleagues.